Science Current Events | Science News | Brightsurf.com
 
Email a Friend Send to a friend
Printer Friendly Print Smokers With Lung Disease Need More Than 'Brief' Intervention

Smokers With Lung Disease Need More Than 'Brief' Intervention

April 02, 2008

OHSU Smoking Cessation Center researchers outline key steps for developing and implementing clinic-based systems to provide smoking cessation treatment tailored to smokers with respiratory disorders
Smokers with lung disease require more than brief smoking cessation interventions to successfully quit, researchers in the Oregon Health & Science University Smoking Cessation Center report.

Their recommendations will be published Tuesday, April 1, in the online edition of Pulmonary and Critical Care Update, a publication of the American College of Physicians.




Although effective treatments for smoking cessation exist, and research has shown that patients who receive smoking cessation treatment are twice as likely to quit -- limited insurance coverage, poor adherence to practice guidelines, lack of clinician training in smoking cessation, time constraints and inadequate clinic systems to easily identify and treat smokers have limited the availability and quality of smoking cessation treatment.

"Most clinicians who treat their patients for smoking cessation provide only brief interventions, often just three short steps: asking about tobacco at every visit, advising all smokers to quit and referring them to other resources, such as quit lines for assistance and follow-up," said David Gonzales, Ph.D., lead author and co-director of the OHSU Smoking Cessation Center in the OHSU School of Medicine. "When we reviewed the data, we found that brief intervention is often insufficient for the more dependent, high-risk patients with pulmonary disease."

Patients with respiratory disease have more difficulty quitting, are more nicotine-dependent and need more intensive treatment, Gonzales and colleagues explained. They may require higher doses of medications, longer periods of treatment and more frequent follow-up than smokers in general. And, although most try to quit on their own without assistance from their health care provider, 95 percent fail, and patients with respiratory disease have even poorer success.

To help clinicians improve tobacco cessation treatment for these patients, the OHSU research team reviewed current evidence-based treatment guidelines for smoking cessation medication and behavioral support and OHSU's own programs for treating patients in the hospitals and clinics. They advise that when consistent, evidence-based smoking cessation treatment is tailored to the needs of patients and integrated into ongoing respiratory care, smokers can significantly improve their odds of quitting. And the key to accomplishing this, they advise, is to distribute the responsibility for enhanced treatment among several clinic staff members.

Beginning with new patient intake and continuing with review of vital signs, review of systems, treatment planning and check-out, the researchers recommend nurses, medical assistants, clinicians and clinic support staff all have roles in helping the patient stop smoking. Including tobacco cessation treatment in each part of the clinic visit reduces demands on any one member of the clinic staff, they explained. This approach makes it easier for busy clinics to provide effective treatment.

"Providing patients with pulmonary disease with ongoing smoking cessation treatment as part of their regular respiratory care will greatly improve their odds of quitting," said Gonzales.

Co-authors on this paper include: Wendy Bjornson, M.P.H., co-director of the OHSU Smoking Cessation Center, OHSU School of Medicine; and Catherine Markin, M.D., F.C.C.P., assistant professor of medicine (pulmonary and critical care medicine), OHSU School of Medicine.

A detailed step-by-step guideline for integrating smoking cessation into pulmonary clinical practice as well as their paper titled "More Than a Brief Intervention: Updating Smoking Cessation Treatment for Patients with Pulmonary Disease" is on the Pulmonary and Critical Care Update Web site.

Oregon Health & Science University



Related Smoking Cessation Current Events and Smoking Cessation News Articles Smoking Cessation Current Events and Smoking Cessation News RSS Smoking Cessation Current Events and Smoking Cessation News RSS
Women Can Quit Smoking and Control Weight Gain
Many women don't quit smoking because they are afraid of gaining weight. That's because nicotine suppresses the appetite and boosts a smoker's metabolism.

Developmental delay could stem from nicotinic receptor deletion
The loss of a gene through deletion of genetic material on chromosome 15 is associated with significant abnormalities in learning and behavior, said a consortium of researchers led by Baylor College of Medicine (www.bcm.edu) in a report that appears online today in the journal Nature Genetics.

Smokers with common autoimmune disorder at higher risk for skin damage
As if there weren't enough reasons to stop smoking, a team of researchers at the Research Institute of the McGill University Health Centre (RI-MUHC) have just found another.

Consumer Electronics Can Help Improve Patient Health
Electronic tools and technology applications for consumers can help improve health care processes, such as adherence to medication and clinical outcomes like smoking cessation, according to a report by researchers at the Johns Hopkins Bloomberg School of Public Health.

Canadian cardiology team clears the way for lifesaving breast cancer treatment
A team of Canadian cardiologists, in collaboration with oncologists, are playing an important role in the war against breast cancer Dr. Michael McDonald told the Canadian Cardiovascular Congress 2009, co-hosted by the Heart and Stroke Foundation and the Canadian Cardiovascular Society.

Lifestyle changes remain important in fighting peripheral arterial disease
Modifying the risk of peripheral arterial disease (or PAD)-with healthy lifestyle changes-remains vital to one's health, note researchers in a recent issue of the Journal of Vascular and Interventional Radiology.

Cancer survivors may not be getting the help they need to stop smoking
More than a quarter of cancer survivors who still smoke have not been advised to quit smoking by their health care providers in the last year, according to a study published by researchers at Fox Chase Cancer Center in the current issue of the Journal of General Internal Medicine.

Proactive, personalized telephone counseling can help teen smokers to quit
Personalized, proactive telephone counseling centered on motivational interviewing and cognitive behavioral skills training has been found to favorably impact quit rates among teen smokers, according to a pair of studies published online October 12 in the Journal of the National Cancer Institute.

Teen smoking-cessation trial first to achieve significant quit rates
For the first time, researchers at Fred Hutchinson Cancer Research Center have demonstrated that it is possible to successfully recruit and retain a large number of adolescent smokers from the general population into a smoking intervention study and, through personalized, proactive telephone counseling, significantly impact rates of six-month continuous quitting.

New stove dramatically improves lung health in Mexican women
Women in Central Mexico who used a vented stove instead of the traditional indoor open fire, experienced improved respiratory health on par with a pack-a-day smoker kicking the habit, according to a recent study.
More Smoking Cessation Current Events and Smoking Cessation News Articles
LifeSign QuitKey Smoking Cessation Computer

LifeSign QuitKey Smoking Cessation Computer
by LifeSign

QuitKey alters your smoking routine and eases you off cigarettes gradually. QuitKey reminds you when to smoke and when not to smoke. Step by step. Hour by hour. One day at a time. The QuitKey approach to quit smoking culminates 20 years of research. It was developed and proven effective with grants from the National Institutes of Health and builds on the enormous success of LifeSign, a first generation smoking cessation computer that uses the same gradual reduction technology. QuitKey works in two stages. Stage 1 (7 days): You smoke at your normal rate and use the QuitKey smoke button to record every cigarette you smoke. QuitKey uses this information to form your personal quit plan. Stage 2 (14 to 34 days): QuitKey helps you follow your quit plan by prompting you when to...

X-Halers Smokeless Cigarette and CD Stop Smoking Program

X-Halers Smokeless Cigarette and CD Stop Smoking Program
by X-Halers

Smoking Cessation, Nicotine-free, all natural, program that comes with a new scientifically designed smokless plastic cigarette which is to be used in place of smoking real tobacco cigarettes. Also comes with an entire stop smoking program on a 40 minute CD which is easy to use and understand.

The Easy Way to Stop Smoking: Join the Millions Who Have Become Non-Smokers Using Allen Carr's Easyway Method

The Easy Way to Stop Smoking: Join the Millions Who Have Become Non-Smokers Using Allen Carr's Easyway Method
by Allen Carr (Author)

A new edition of the revolutionary bestseller, with four million copies in print. Allen Carr’s innovative Easyway method—which he discovered after his own 100-cigarette-a-day habit nearly drove him to despair—has helped millions kick smoking without feeling anxious and deprived. That’s because he helps smokers discover the psychological reasons behind their dependency, explains in detail how to handle the withdrawal symptoms, shows them how to avoid situations when temptation might become too strong, and enables them to stay smoke-free. Carr discusses such issues as nicotine addiction; the social “brainwashing” that encourages smoking; the false belief that a cigarette relieves stress; the role boredom plays in sabotaging efforts to stop; and the main reasons for failure. With...

Quitterclock Smoking Cessation Program

Quitterclock Smoking Cessation Program
by Passage Maker

Quitterclock is the all new smoking cessation program that helps you STOP Smoking for good, ONE DAY AT A TIME. Using proven, goal setting techniques, Quitterclock is the safe, effective, affordable way to END your smoking addiction. Take the 60 Day Challenge today and live a smoke free life! The Quitterclock Program is unlike any other stop smoking product on the market. Quitterclock greatly improves your chance for successfully quitting because the 60 Day Challenge not only puts your goal in writing, but gives you a proven plan to help accomplish that goal. Quitterclock then tracks your progress along the way, for up to one year. Set the goal. Start the Clock. Break the Habit!

SmokeRx - Quit Smoking Kit - All Natural Smoking Cessation Program

SmokeRx - Quit Smoking Kit - All Natural Smoking Cessation Program
by LM

This System Includes Three Natural Formulas for Nutritional and Aromatherapy Support. This amazing system will give you the nutritional support you need to help you Feel Healthy and Soothed while you Change your habits to quit smoking or reduce the amount that you smoke. Many of these herbs have been used for hundreds of years! The formulation in the Smoke Rx System can assist your body in curbing your cravings to reduce your desire to smoke! The system's unique herbal blend is formulated to temporarily reduce your desire to smoke while you change your lifestyle and become Smoke Free. The program's amazing Aromatherapy formulation works by infusing an herbal scent designed to provide a sense of relaxation and calm while dealing with the stress and tension of trying to quit smoking. Carry...

Cognitive-Behavioral Therapy  for Smoking Cessation: A Practical Guidebook to the Most Effective Treatments (Practical Clinical Guidebooks)

Cognitive-Behavioral Therapy for Smoking Cessation: A Practical Guidebook to the Most Effective Treatments (Practical Clinical Guidebooks)
by Kenneth A. Perkins (Author), Cynthia A. Conklin (Author), Michele D. Levine (Author)

Practitioners helping smokers to quit can be more effective by learning key therapeutic techniques aimed at increasing any smoker’s chances of success. Cognitive-Behavioral Therapy for Smoking Cessation is a valuable guidebook to an empirically based CBT approach to smoking cessation that has been shown to be effective with or without the use of medications. This approach emphasizes techniques for enhancing the smoker’s motivation and confidence to quit, and teaching the smoker steps for preparing to quit, coping with the difficulties that emerge after quitting, and transitioning to become a long term nonsmoker.



Cognitive-Behavioral Therapy for Smoking Cessation offers the fundamental counseling strategies and interventions that have been established,...

NicoDerm CQ STEP 1 - 3 Week Kit -21 Clear Nicotine Patches

NicoDerm CQ STEP 1 - 3 Week Kit -21 Clear Nicotine Patches
by Nicoderm

NicoDerm CQ is a small clear nicotine patch. When you put on a NicoDermCQ patch, nicotine passes through the skin and into your body. NicoDerm CQ patch is very thin and uses special material to control how fast nicotine passes through the skin. Unlike the sudden jolts of nicotine delivered by cigarettes, the amount of nicotine you receive remains relatively smooth throughout the 24 or 16 hour period you wear the NicoDerm CQ patch. This helps to reduce cravings you may have for nicotine. Smoking cessation and stop smoking aids.

Windmill Health Products Smoke Away Stop Smoking Support Program, 1 program

Windmill Health Products Smoke Away Stop Smoking Support Program, 1 program
by Prevention

Includes: Formula One: 64 tablets Dietary Supplement (nutritional support); Formula Two: 14 tablets Dietary Supplement (wellness support); Natural homeopathic medicine 75 pellets; Smoke Away audio support CD; Smoke Away success guide. Smoke away is a smoking cessation support program including a unique variety of traditional herbs that help maintain your sense of health and well being while you break your smoking habit. The Smoke Away Program also includes an all-natural Homeopathic medicine designed to help ease cravings. In addition, we have added an audio support program which helps reinforce your decision to quit and help keep you motivated. Smoke Away also provides helpful tips and techniques to further assist you during the quitting process. (These statements have not been evaluated...

Stop Smoking in One Hour: Play the CD... Just Once... and Never Smoke Again!

Stop Smoking in One Hour: Play the CD... Just Once... and Never Smoke Again!
by Susan Hepburn (Author)

Everyday, an estimated one thousand Americans die from the effects of smoking. There are 45 to 50 million nicotine addicts in the United States, and most would like to quit. If you are one of them, this book is your guide.

Nicotine Transdermal System Patch, Stop Smoking Aid, 7 mg, Step 3, 14 patches

Nicotine Transdermal System Patch, Stop Smoking Aid, 7 mg, Step 3, 14 patches
by Habitrol

Habitrol take control support program. 7 mg Delivered over 24 hours. Includes: Behavior support program with self-help guide and CD. For use after completing Step 2.

© 2009 BrightSurf.com